Ultrasound form pdf 2026

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  1. Click ‘Get Form’ to open the ultrasound form in the editor.
  2. Begin by entering the Patient Name and contact details, including Home Tel, Mobile Tel, and Address. Ensure all information is accurate for effective communication.
  3. Fill in the Date of Birth and Patient NHS Number. This information is crucial for identification and record-keeping.
  4. In the 'Part to be scanned' section, specify the area of examination clearly. Provide any relevant Clinical Details in the designated space to assist medical professionals.
  5. Complete the referral information by entering who referred you and their Practice/Practice code. This helps streamline processing within healthcare systems.
  6. Review your entries for accuracy before signing. Confirm consent for the examination by providing your signature along with the date.
  7. If applicable, indicate if you are pregnant and have a qualified professional sign off on the justification for the procedure.

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